APPLICATION TO COUNCIL FOR APPROVAL TO VARY THE BUILDING

RIDING ESTABLISHMENTS ACTS 19641970 APPLICATION FOR LICENCE TO
APPLICATION FORM AND PERSONAL INFORMATION SHEET IF
EMA520992013 EMAPDCO SUMMARY REPORT ON AN APPLICATION FOR A

FRONT TO THE WORDPRESS APPLICATION THIS FILE
12 FILLING OUT DESCRIPTION OF THE APPLICATION
2013 EDUCATION AND OUTREACH GRANTS APPLICATION FORM

Application to Council for approval to vary the Building Regulations under part 4 of the Building Regulations 2006

To: Nillumbik Shire Council
Re: (subject address):

I, hereby seek the consent and report of Council, in accordance with Schedule 2 of the Building Act 1993.
Name (owner/agent of owner/relevant building surveyor)
Postal Address:
Telephone:
E-mail:
Signature:
Date:
(If you are applying as an agent of the owner, by signing this application form you acknowledge that you have the consent from the owner in writing)

Accompanying this application is:

Description of proposal and justification of compliance with the Minister’s decision guidelines. See the Victorian Building Authority website
Two copies of plans of the subject allotment, adjoining properties and where relevant, the location of habitable room windows, private open space, secluded private open space, relevant elevations and sections appropriately dimensioned, any significant vegetation on the site and on adjoining sites.
A full copy of a current Certificate of Title of the allotment, including lot plan, covenants and agreements as listed on title
The written comments are required on the proposal from the owners of all nearby allotments that could be affected by the proposal. (These comments and signatures are to be on one of the plans submitted and must show that the nearby owners have a full understanding of the application for the variation being sought).
Fee of $256.90 (cheques made payable to Nillumbik Shire Council)
Any other information that would support the application.

Please circle appropriate regulation and complete the relevant requirements

Regulation 408 - Required setback

Proposed setback (m)
Required setback (m)

Regulation 409 - Minimum street setback

Proposed setback (m)
Required setback (m)

Regulation 410 - Maximum building height

Proposed building height (m)
Maximum height (m)

Regulation 411 - Site Coverage

Existing site coverage (m)
Proposed site coverage (m)

Regulation 412 - Permeability

Existing impermeable surface area (m2)
Proposed impermeable surface area (m2)

Regulation 413 - Carparking

Proposed carparking dimension of each car park (m)

Regulation 414 - Side and rear boundary setback

Existing setback (m)
Proposed building setback (m)
Proposed wall height (m)

Regulation 415 - Walls or Carport within 1m of boundary

Existing wall height (m)
Proposed wall height (m)
Existing building length (m)
Proposed building length (m)
Existing setback (m)
Proposed setback (m)

Regulation 416 - Daylight to existing habitable room windows

Adjoining building floor level at window (m)
Adjoining building roof boundary setback (m)
Proposed wall or carport height (m)
Proposed building roof boundary setback (m)

Regulation 417 - Solar access to existing north facing habitable room window

Existing adjoining building boundary setback (m)
Proposed building boundary setback (m)
Proposed building wall or carport height (measured from natural ground level to roof) (m)

Regulation 418 - Overshadowing to recreational private open space

Regulation 419 - Overlooking in adjoining allotments

Regulation 420 - Daylight to new habitable room windows

Regulation 421 - Private open space

Proposed private open space area (m)
Existing private open space area (m)

Regulation 422 - Siting of class 10a

Regulation 424 - Front fence height

Regulation 425 - Fences setbacks from side and rear boundaries

Regulation 426 - Side and rear fence height

Regulation 427 - Fences on street alignments

Regulation 431 - construction of a mast pole etc

Submission Form:

Please provide reasons for this request and supporting information:

The personal information requested on this form is being collected by Council for the purpose of evaluating an application. This information will be used solely by Council for that primary or directly related purpose. The applicant understands that the personal information provided is for the purpose of evaluating an application and that they may apply to Council for access to and/or amendment of the information.

Application to Council for approval to vary the Building Regulations under part 4 of the Building Regulations 2006

Adjoining Owner Comment Form
Re: Subject property:

I (we),
Owner(s) of the property at:

Telephone:
Hereby state that I (we) do/do not object to the construction of a:
(description)
In accordance with the drawings shown to me (us) by the applicant,
Being:
Drawing’s Reference No:	Dated:
I (we) understand that the proposal does not comply with minimum siting provisions of the building regulations in that:



As required by the current building regulations.
Other comments (if any):



By signing this statement, I (we) acknowledge that Council has no obligation to consider the present application, nor my (our) comments, as a precedent for assessing any future applications of this nature, anywhere in the Municipality. I (we) understand my (our comments are only to be used as a reference to assist in the process of making a determination on the relevant siting.

Signature:	Date:
Signature:	Date:

Application to Council for approval to vary the Building Regulations under part 4 of the Building Regulations 2006

Adjoining Owner Comment Form
Re: Subject property:

I (we),
Owner(s) of the property at:

Telephone:
Hereby state that I (we) do/do not object to the construction of a:
(description)
In accordance with the drawings shown to me (us) by the applicant,
Being:
Drawing’s Reference No:	Dated:
I (we) understand that the proposal does not comply with minimum siting provisions of the building regulations in that:



As required by the current building regulations.
Other comments (if any):



By signing this statement, I (we) acknowledge that Council has no obligation to consider the present application, nor my (our) comments, as a precedent for assessing any future applications of this nature, anywhere in the Municipality. I (we) understand my (our comments are only to be used as a reference to assist in the process of making a determination on the relevant siting.

Signature:	Date:
Signature:	Date:

July 2016

2018 INTERNATIONAL SUMMER SCHOOL COURSE TEACHING APPLICATION FORM
20XX WRITTEN QUESTIONS ON APPLICATION GUIDELINES AS WE
23 DATE FEBRUARY 23RD 2009 SUBJECT APPLICATION

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